Organization · Type 2 NPI

Ice20 - Triad Sports Group, LLC

Durable Medical Equipment & Medical Supplies · Camarillo, CA

NPI number 1285964932 Active

Practice location

4690 Calle Quetzal
Camarillo, CA 93012-8558

Call (805) 857-4172 Map

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1285964932

Ice20 - Triad Sports Group, LLC's National Provider Identifier is 1285964932, issued on Dec 31, 2009. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Camarillo, CA. The record was last updated on Oct 7, 2014.